Hearthstone Nursing & Rehabilitation Center
Medford, Oregon · CCN 385091
32 surveys since 2010, 21 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 262
- Surveys
- 32
- Harm or worse
- 21
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 87
- Ownership
- For profit - Limited Liability company
- Chain
- VOLARE HEALTH
- County
- Jackson
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 45 for-profit facilities of 66–99 beds in Oregon.
Last survey on record
Mar 4, 2026
250 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.41 | 4.88 |
| Registered-nurse hours per resident day | 0.67 | — |
| Annual nurse turnover | 37.1% | 44.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $230,522 across 3 penalties
- Payment denials
- 2
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J45.3% | K— | L— |
| Actual harm | G22.7% | H— | I— |
| No harm, potential for more than minimal | D5168.0% | E1216.0% | F68.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6774×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5523×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Hearthstone Nursing & Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600May 31, 2024
Based on interview and record review it was determined the facility failed to ensure residents were free from sexual abuse for 2 of 5 sampled residents (#s 15 and 16) reviewed for abuse. This failure, determined to be an immediate jeopardy situation, placed residents at risk for sexual abuse when staff witnessed repeated intimate nonconsensual sexual activity without completing assessments to determine ability to consent and without putting appropriate interventions in place. Findings include: The facility's 3/2023 facility Freedom from Abuse, Neglect and Exploitation policy indicated the following: - The facility will provide a safe resident environment and protect residents from abuse . this includes freedom from . sexual or physical abuse. […]
- Immediate jeopardy, isolatedF607May 31, 2024
Based on interview and record review the facility administration failed to implement their abuse policy procedures in the areas of identification, investigation, protection, and reporting which resulted in repeated incidents of sexual abuse for 2 of 5 sampled residents (#s 15 and 16) reviewed for abuse. This failure to implement their abuse policy and procedures resulted in Resident 15 and Resident 16 repeatedly engaging in intimate nonconsensual sexual activity. The facility's 3/2023 Freedom from Abuse, Neglect and Exploitation policy including the Abuse Reporting and Responsibilities of Covered Individuals indicated the following: - The facility will provide a safe resident environment and protect residents from abuse . this includes freedom from . sexual or physical abuse. […]
- Immediate jeopardy, isolatedF684May 31, 2024
1. Based on interview and record review it was determined the facility failed to obtain treatment orders, failed to administer timely treatment, and failed to provided correct treatment for a surgical wound for 1 of 7 sampled residents (#6) reviewed for wounds. This failure, determined to be an immediate jeopardy situation, resulted in Resident 6 experiencing a delay in wound care treatment which resulted in the resident's wound to become infected and dehisced (separation of the wound due to improper healing). Resident 6 was re-hospitalized and required surgery for an above the knee amputation (AKA). […]
- Immediate jeopardy, isolatedF686May 31, 2024
Based on interview and record review it was determined the facility failed to comprehensively assess, monitor, treat and follow physician orders for pressure ulcer treatment for 1 of 7 sampled residents (#4) reviewed for pressure ulcers. This failure, determined to be an immediate jeopardy situation, resulted in Resident 4's Stage 2 (partial thickness skin loss) pressure ulcer observed upon admission which worsened to an infected, unstageable (full thickness tissue loss where the depth of the wound is obscured by non-viable or dead tissue) pressure ulcer. Resident 4 was admitted to the hospital where she/he required surgical debridement (the removal of damaged tissue from the wound). […]
- Actual harm, isolatedF600Feb 27, 2024
Based on interviews and record review, it was determined the facility failed to ensure residents were free from verbal and physical abuse for 2 of 6 sampled residents (#s 13 and 17) reviewed for abuse. Resident 13 experienced psychosocial harm. Findings include: 1. Resident 13 admitted to the facility in 2023 with diagnoses including anxiety. A 1/11/24 Verbal aggression investigation indicated Staff 42 (Former CNA) was directed to shower Resident 13. Staff 42 escalated the volume of her voice yelling this is bullshit loudly which other residents could hear. Staff 42 stated to Resident 13 You're not taking forever to shower tonight. You get 15 minutes; I don't have time for this shit. Staff 40 (LPN) went to deescalate Staff 42 and remove her from the care of Resident 13. […]
Read 41 findings in full →The most serious and the most recent: 41 of 262 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 4, 2026Complaint5 findings
- Nov 25, 2025Complaint1 finding
- May 23, 2025Standard and complaint5 findings
- Dec 7, 2024Standard and complaint10 findings
- Nov 5, 2024Complaint1 finding
- Jun 28, 2024Standard and complaint17 findings
- May 31, 2024Complaint8 findings · 4 harm
- Feb 27, 2024Complaint7 findings · 1 harm
Show the 24 earlier surveys
- Feb 1, 2024Complaint8 findings
- Nov 8, 2023Standard and complaint43 findings · 1 harm
- Oct 23, 2023Complaint3 findings
- Jun 20, 2023Complaint2 findings
- Sep 23, 2022Standard and complaint12 findings
- Feb 23, 2022Complaint26 findings · 2 harm
- May 6, 2021Complaint2 findings
- Mar 15, 2021Complaint6 findings
- Mar 19, 2020Complaint2 findings
- Sep 10, 2019Standard and complaint25 findings · 2 harm
- Apr 23, 2019Complaint19 findings · 2 harm
- May 24, 2018Complaint5 findings · 1 harm
- Feb 2, 2018Standard3 findings
- Nov 4, 2016Standard and complaint4 findings
- Sep 21, 2015Standard and complaint4 findings
- Oct 27, 2014Standard7 findings · 1 harm
- Sep 25, 2014Complaint5 findings · 2 harm
- Jan 10, 2014—1 finding
- Jul 26, 2013—4 findings · 3 harm
- Mar 29, 2013—12 findings · 1 harm
- Dec 23, 2011—9 findings
- Jan 26, 2011—1 finding · 1 harm
- Oct 11, 2010—1 finding
- Sep 24, 2010—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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